Quantum Diagnostics LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

800028779 Issued in FL

Legal business name

QUANTUM DIAGNOSTICS LLC

Practice address

5199 10TH Ave N Ste 105
Greenacres, FL 33463-2050

Phone

(561) 440-2101

Fax

(561) 440-2299

NPI assigned

Dec 14, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Andrew Simmons

Title

Ceo/Owner

Phone

(561) 440-2101

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1513209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513209600000",
    "number": "1225544117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5199 10TH AVE N STE 105",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334632050",
            "telephone_number": "561-440-2101",
            "fax_number": "561-440-2299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5199 10TH AVE N STE 105",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334632050",
            "telephone_number": "561-440-2101",
            "fax_number": "561-440-2299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUANTUM DIAGNOSTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-14",
        "last_updated": "2017-12-14",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "561-440-2101"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "FL",
            "license": "800028779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in Greenacres, FL
• Providers in Greenacres, FL by specialty
• Clinical Medical Laboratory in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.